THOMAS BRIAN BOZEMAN (NPI# 1376638288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376638288 |
| Entity Type | Individual |
| Full Name | THOMAS BRIAN BOZEMAN |
| Credential | DDS |
| Practice Address |
1820 Sonoma Ave Ste 110 Santa Rosa CA 95405 |
| Mailing Address |
1820 Sonoma Ave Ste 110 Santa Rosa CA 95405-6617 |
| Practice Telephone | 7075462887 |
| Practice Fax Number | 7075462847 |
| Mailing Telephone | 7075462887 |
| Mailing Fax Number | 7075462847 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
53688 | CA | Dental Providers |
| Street Address |
1820 SONOMA AVE STE 110 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487287843 | Saeidi Dds Inc | Dentist | 1820 Sonoma Ave, Santa Rosa, CA 95405-6616 | 2020-02-13 |
| 1619224300 | Michael Macy Rice | Dentist | 1820 Sonoma Ave, Ste. 20, Santa Rosa, CA 95405-6616 | 2012-08-13 |
| 1003048307 | Michael Glenn Scott | Dentist | 1820 Sonoma Ave, Suite 40, Santa Rosa, CA 95405-6616 | 2009-08-20 |
| 1790811263 | Frederick Ferd Franke, IIi | Dentist | 1820 Sonoma Ave, 90 Doctors Park Dr. Ste B, Santa Rosa, CA 95405-6616 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811335755 | Rincon Family Dental | Dentist | 55 Elaine Dr, Santa Rosa, CA 95409-4248 | 2013-06-13 |
| 1548525785 | Dongjin Sah | Dentist | 1400 N Dutton Ave Ste 11, Santa Rosa, CA 95401-4644 | 2012-07-12 |
| 1679728612 | John A Chalmers | Dentist | 95 Montgomery Dr Ste 106, Santa Rosa, CA 95404-6617 | 2008-11-18 |
| 1174664460 | Lehman Waggener Professional Dental Corporation | Dentist | 80 Doctors Park Drive, Santa Rosa, CA 95405 | 2007-02-09 |
| 1487700704 | Phillip Andrew Waterman Jr. | Dentist | 3748 Montgomery Dr, Santa Rosa, CA 95405-5215 | 2007-01-27 |
| 1689721961 | Robert Lee Grove Jr. | Dentist | 305 Farmers Ln, Santa Rosa, CA 95405-4722 | 2007-01-05 |
| 1407957947 | Clinton E Weaver | Dentist | 1202 Farmers Ln, Santa Rosa, CA 95405-6707 | 2006-09-26 |
| 1689142572 | Yan Kalika Dental Corporation | Dentist | 140 Stony Point Rd Ste A, Santa Rosa, CA 95401-4121 | 2018-11-08 |
| 1467629386 | James Allen Abbott | Dentist | 4655 Hoen Ave, Suite 2, Santa Rosa, CA 95405-7800 | 2008-05-09 |
| 1013077403 | Ranolph Duane Rush | Dentist | 3536 Mendocino Ave, Suite #330, Santa Rosa, CA 95403-3634 | 2006-12-08 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on THOMAS BRIAN BOZEMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.